Pediatrics Flash Cards - Case 21 - HSP
RMSF rash pattern?
rash (blanching erythematous rash with macules [1-4 mm] that become petechial over time w/ fever; starts on extremities -> centrally; palms and soles “highly characteristic of RMSF, but usually occurs in later-stage disease”
Nine aspects of skin lesions to document?
Type of lesion; Shape; Size; Color; Consistency; Arrangement; Location; Distrib pattern; Evolution over time
Supraclavicular LNs should make you think?
lymphoma/leukemia
spleen edge felt more than …?… cm below the left costal margin is considered abnormal
2 cm
CBC findings in HSP?
normal plt count! (if low think ITP or leukemia)
HSP clinical findings, briefly?
1) rash (petechiae & palp purpura), 2) abd pain (colicky diffuse or periumbilical), 3) arthritis/arthralgia, and 4) renal dz
Majority of children who come down with HSP are of which sex and which age group?
majority occurring between ages 4 and 6. Boys are affected twice as often as girls.
HSP is considered a which size vessel vasculitis?
small-vessel
ROS question for bleeding in young boy?
any problems w/ bleeding after circumcision?
Treatment for HSP? Expected course?
No treatment (aside from NSAIDs for pain mgmt) is needed in most cases of HSP. Expect resolution w/in 1 month.
When do you consider corticosteroid use for HSP Tx?
ARF and/or pt presenting w/ abd pain; can also consider for refractory joint pass
